Charting in Long Term Care Facilities
Learn the requirements for high-fidelity LTC documentation and use our AI medical scribe to turn your patient encounters into EHR-ready drafts.
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Is this the right workflow for your facility?
For LTC Clinicians
Best for providers managing chronic conditions and longitudinal care in skilled nursing or assisted living.
Documentation Guidance
Get a clear breakdown of what a comprehensive long-term care note must include to ensure continuity.
From Encounter to Draft
See how Aduvera records your visit and generates a structured draft for your review and finalization.
See how Aduvera turns a recorded visit into a transcript-backed draft you can review before charting around charting in long term care facilities.
Built for the complexities of long-term care
Move beyond generic templates with documentation tailored to chronic care management.
Longitudinal Context
Generate patient summaries and pre-visit briefs to maintain continuity across multiple encounters in the facility.
Transcript-Backed Citations
Verify every claim in your LTC note by reviewing per-segment citations linked directly to the encounter recording.
Flexible Note Styles
Draft in SOAP, H&P, or APSO formats to match your facility's specific charting requirements.
From bedside recording to finalized chart
Turn your facility rounds into structured documentation in three steps.
Record the Encounter
Use the web app to record your patient visit, capturing the nuances of the resident's current status and changes.
Review the AI Draft
Review the generated note alongside the source context to ensure accuracy in medication changes or symptom progression.
Copy to EHR
Finalize your review and copy the structured, EHR-ready output directly into your facility's charting system.
Standards for Long Term Care Documentation
Effective charting in long term care facilities must capture the intersection of acute changes and chronic baseline stability. Strong notes include detailed sections on Activities of Daily Living (ADLs), medication adherence, skin integrity, and behavioral changes. Documentation should clearly delineate between the resident's stable chronic state and any new symptoms that necessitate a change in the plan of care, ensuring that any clinician stepping in has a clear longitudinal view of the patient.
Aduvera replaces the need to recall these details from memory hours after rounds. By recording the encounter in real-time, the AI scribe captures the specific clinical data points required for LTC compliance. Clinicians can then review the draft against the transcript to verify that specific resident responses or physical findings are captured accurately before copying the final note into the EHR.
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Common Questions on LTC Charting
Transcript-backed documentation, clinician review, and EHR-ready note output are built into every workflow.
Can I use this for daily progress notes in a skilled nursing facility?
Yes, you can record your daily rounds and use the AI scribe to generate structured progress notes for review.
Does the tool support the specific note formats used in long term care?
Yes, the app supports common styles like SOAP and APSO, which are frequently used for LTC charting.
How do I ensure the AI didn't miss a specific change in a resident's condition?
You can review the transcript-backed source context and per-segment citations to verify every detail before finalizing the note.
Is the app secure for use in a healthcare facility?
Yes, the app supports security-first clinical documentation workflows.
Reclaim your evenings from chart notes
Let Aduvera turn visit conversations into a cleaner first draft so you can review faster and finish documentation with less after-hours work.